Kugonjetsedwa kwa minofu ya mtima yotupa mtima imatchedwa myocarditis. Matendawa ndi osowa, chifukwa mawonekedwe ake amatha kukhala osamvetsetseka.
Kufufuza ndikofunika kupeza chomwe chimayambitsa myocarditis - zizindikiro ndi chithandizo cha kutupa zimadalira mtundu wa matenda. Matendawa ndi opatsirana, opatsirana, a rheumatic, omwe amawonekera komanso osadziwika (aydiopathic).
Zizindikiro ndi chithandizo cha matenda opatsirana komanso opatsirana pogonana
Zizindikiro zazikulu za matendawa ndi zofanana pa mawonekedwe onsewa:
- mpweya wochepa;
- kusokonezeka pakati ndi kumbali ya chifuwa;
- bradycardia (kawirikawiri);
- kutopa;
- zowawa zosiyanasiyana mu mtima ;
- tachycardia;
- kufooka kwakukulu;
- arrhythmia.
Pamaso pa kulephera kwa mtima, chidziwitso chake chikudziwika, chomwe chingayambitse zizindikiro zina:
- Kutupa kwa mitsempha pamutu;
- phokoso edema;
- ascites;
- kukula kwa chiwindi;
- mpweya;
- hydrothorax .
Ngati myocarditis imayambitsidwa ndi mavairasi, mabakiteriya, kapena kuphatikizapo, amaonedwa kuti akuwathandiza. Kuphatikiza pa zizindikiro zazikulu za matendawa zikutsatiridwa ndi mphamvu yamphamvu ndi mwadzidzidzi, mawonetseredwe a kuledzera kwa thupi, ngakhale kuti mitundu yochepa ya matendawa ndi yowonongeka.
Mankhwala otchedwa allergic myocarditis amasiyanitsidwa ndi maonekedwe a kachipatala masiku khumi ndi asanu ndi limodzi (10-15) kutuluka kwa kutupa, choncho ndi kovuta kwambiri kuti mudziwe poyamba.
Mosasamala kanthu ka mtundu wa matendawa, njira zothandizira mankhwala ndi kusunga mpumulo wa bedi (kawirikawiri kuchipatala cha chipatala) ndi zakudya zomwe zimaphatikizapo kuchepetsa kumwa madzi ndi mchere.
Ndi myocarditis, mankhwala amtundu wa etiotropic amapangidwa pofuna kuthana ndi matenda omwe amachititsa kutupa kwa mtima
Sizingatheke kuti munthu asamalidwe ndi myocarditis, zikhoza kuipitsa matendawa.
Zizindikiro ndi mankhwala ochizira matenda a rheumatic ndi ofalitsa myocarditis
Ngati vuto la kutupa kwa myocardial ndi rheumatism, zizindikiro zikuluzikulu zimaphatikizapo mabala ndi ululu m'magulu, kufooka kwa minofu, kuchepa kwa kuyenda, makamaka kumtunda.
Kuthetsa myocarditis kumadziwika ndi kukula kwa mtima wosalimba, komanso zipinda zowononga mtima.
Matenda a mtundu wa matendawa amachokera kukumangidwa kwa kutupa kwa mizu ya mitsempha. Kuti tichite zimenezi, mankhwala osokoneza bongo amalembedwa (Ibuprofen, Paracetamol), m'zovuta kwambiri - glucocorticosteroid hormones (Kenalog, Prednisolone).
Chithandizo cha myocarditis chochuluka ndicho kuthetsa chinthu choyipa kwambiri (ionizing ma radiation, matenda okhudzana ndi matenda, kupsinjika, kuwotchedwa). Pambuyo pake, mankhwala opatsirana amachitidwa, opangidwa kuti abwezeretse ntchito za minofu ya mtima:
- Kukonzekera potaziyamu (Asparcum, Panangin);
- anabolic (Riboxin);
- vitamini complexes.
Zizindikiro ndi Chithandizo cha Matenda Aakulu ndi Ochizira Odwala Abramov-Fiedler
Chinthu chodziwika kwambiri ndi mtundu wa mankhwala omwe amachitidwa, omwe amatchedwa myocarditis a Abramov-Fidler. Amadziwika ndi chitukuko cha matenda a khalidwe, mtima wamtima, cardiomegaly, mtima wakulephera, kupanga thrombi m'makona a chiwalo.
Kukonzekera kwa chithandizo cha idiopathic myocarditis mu mawonekedwe ovuta kapena osasankhidwa amasankhidwa payekha komanso kokha ndi katswiri wa zamoyo. Pachifukwa ichi, mankhwala opatsirana pogwiritsa ntchito njira yowonjezera ya antiticoagulants ndi antigregregants ikuchitika. Wodwalayo amafunikira kuwona nthawi zonse ndi mwayi wothetsera vutoli mwamsanga, chifukwa myocarditis ya Abramov-Fidler nthawi zambiri imakhala yovuta.
Kuchiza kwa myocarditis ndi mankhwala owerengeka
Njira zosiyana ndi zachikhalidwe zothandizana ndi matendawa zimangogwiritsidwa ntchito ngati njira zothandizira anthu kuti azidwala matendawa. Amathandiza kulimbitsa kachipangizo kameneka ndi kuchepetsa kutupa.
Odwala amtundu amalimbikitsa tsiku lililonse kudya supuni 1 ya uchi wamaluwa ndi mkaka, 20-30 magalamu a tchizi, mtedza, zoumba, mudzaze zakudya ndi zipatso ndi zipatso. Zothandizira izi zimathandiza kuti magazi azikhala ndi potaziyamu, zomwe ndizofunikira kuti thupi likhale labwino kwambiri.
Malemba a mankhwala ochokera ku myocarditis
Zosakaniza:
- Zipatso za nkhuyu - 5-7 zidutswa;
- mandimu - 3-4 zidutswa;
- vodka - 50 g;
- wokondedwa - 1.5 makapu.
Kukonzekera ndi ntchito
Gulani nkhuyu mu chopukusira nyama. Chotsani mandimu m'mafupa, musiye peel. Onetsani iwo, nawonso. Sakanizani 125 magalamu a gruel ku nkhuyu ndi 250 g wa mandimu, onjezerani vodka ndi uchi. Mwamsanga mutadya, idyani supuni 1 ya mankhwala.